Physical Therapy Intervention for Extended Physical Symptoms After a Sports-related Concussion
| Status: | Completed |
|---|---|
| Conditions: | Neurology |
| Therapuetic Areas: | Neurology |
| Healthy: | No |
| Age Range: | 10 - 23 |
| Updated: | 4/21/2016 |
| Start Date: | November 2014 |
| End Date: | December 2015 |
The purpose of this study is to investigate if skilled physical therapy treatment for
dizziness after sports-related concussion, delivered after greater than 30 days
post-concussion is effective to remediate physical symptoms. This will be the first study
that explores differential PT treatment for dizziness in concussed athletes who have
physical symptoms 30+ days after concussion. The findings of this important research have
great potential to influence clinical practice and place increased emphasis on and
acceptance of manual skills and neuromotor training in the treatment of concussed patients
with dizziness.
dizziness after sports-related concussion, delivered after greater than 30 days
post-concussion is effective to remediate physical symptoms. This will be the first study
that explores differential PT treatment for dizziness in concussed athletes who have
physical symptoms 30+ days after concussion. The findings of this important research have
great potential to influence clinical practice and place increased emphasis on and
acceptance of manual skills and neuromotor training in the treatment of concussed patients
with dizziness.
Patients will be recruited from the ongoing Randomized Clinical Trial (Walsh University HSR
14-20) that are not returned to play and/or are not asymptomatic at the completion of their
involvement in this research protocol. Based on the timeframe for their participation in the
aforementioned study, these athletes will be 30 - 50 days post-concussion. At their final
visit for the RCT, patients with one of the following criteria will be invited to
participate in this research study:
1. Lack of release for Return to Play
2. Continuation of physical symptoms (headache, nausea, vomiting, balance problems,
dizziness, light or noise sensitivity, numbness and/or vision problems) as recorded on
the Post-Concussion Symptom Scale.
Desired sample size: 15 participants.
Skilled treatment: patients will be scheduled for a physical therapy assessment. The PTs
will use a prescriptive approach to the assessment of the central nervous system, the
cervical spine, and the vestibular system to determine the relative involvement of each
system and dysfunction contributing to the patient's physical complaints. This assessment
will include the outcome measures that will be obtained pre and post-treatment (Vertigo
Symptom Scale (VSS) and the Functional Gait Assessment (FGA). Once the assessment is
completed, the PT will initiate treatment, with follow-up visits for PT treatment 1 - 2
times per week. They will pragmatically design an individualized and progressive treatment
plan, including manual therapy (manipulation and/or mobilization), neuromotor control
strategies, and vestibular rehabilitation techniques, depending on the findings at
assessment and patient response. Therapists can also tailor education regarding mental and
physical rest according to specific parameters provided by the treating physician. Patients
may also be prescribed a home exercise program and exercise education. The precise treatment
strategies will be recorded. At each PT visit, symptomatic recovery will be tracked using
the PCS.
14-20) that are not returned to play and/or are not asymptomatic at the completion of their
involvement in this research protocol. Based on the timeframe for their participation in the
aforementioned study, these athletes will be 30 - 50 days post-concussion. At their final
visit for the RCT, patients with one of the following criteria will be invited to
participate in this research study:
1. Lack of release for Return to Play
2. Continuation of physical symptoms (headache, nausea, vomiting, balance problems,
dizziness, light or noise sensitivity, numbness and/or vision problems) as recorded on
the Post-Concussion Symptom Scale.
Desired sample size: 15 participants.
Skilled treatment: patients will be scheduled for a physical therapy assessment. The PTs
will use a prescriptive approach to the assessment of the central nervous system, the
cervical spine, and the vestibular system to determine the relative involvement of each
system and dysfunction contributing to the patient's physical complaints. This assessment
will include the outcome measures that will be obtained pre and post-treatment (Vertigo
Symptom Scale (VSS) and the Functional Gait Assessment (FGA). Once the assessment is
completed, the PT will initiate treatment, with follow-up visits for PT treatment 1 - 2
times per week. They will pragmatically design an individualized and progressive treatment
plan, including manual therapy (manipulation and/or mobilization), neuromotor control
strategies, and vestibular rehabilitation techniques, depending on the findings at
assessment and patient response. Therapists can also tailor education regarding mental and
physical rest according to specific parameters provided by the treating physician. Patients
may also be prescribed a home exercise program and exercise education. The precise treatment
strategies will be recorded. At each PT visit, symptomatic recovery will be tracked using
the PCS.
Inclusion Criteria:
- Patients will be recruited from the ongoing Randomized Clinical Trial (Walsh
University HSR 14-20) that are not returned to play and/or are not asymptomatic at
the completion of their involvement in this research protocol. Based on the timeframe
for their participation in the aforementioned study, these athletes will be 30 - 50
days post-concussion. At their final visit for the RCT, patients with one of the
following criteria will be invited to participate in this research study:
1. Lack of release for Return to Play
2. Continuation of physical symptoms (headache, nausea, vomiting, balance problems,
dizziness, light or noise sensitivity, numbness and/or vision problems) as
recorded on the Post-Concussion Symptom Scale
Exclusion Criteria:
- Any one who is not enrolled in the aforementioned RCT
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